Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
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Do I Need a Knee Replacement for a Charcot Joint?

Monday, 14 Jun 2010 03:56 PM

Question: Do you recommend knee replacement in a knee that has Charcot joint?
Dr. Hibberd's Answer:
A Charcot joint is a joint that has lost its pain sensation or sense of position (proprioception). The normal joint reflexes that modulate joint movement are decreased, which results in progressive cartilage damage and joint degeneration due to the loss of these protective mechanisms.
Usually the amount of pain is less than expected based on the degree of joint involvement. Sudden pain is often from small micro-fractures of bone adjacent to the joint. Since joint instability and even dislocation commonly occurs later, a joint replacement would be an excellent option as long as the underlying condition that precipitated the Charcot joint has been treated properly.

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